Introduction:
The Immunization Registry is a data store that indicates the immunization status of individual clients. It includes information regarding: client identification, immunizing agent(s), immunization date(s), vaccine identification, immunization provision information, contraindications, exemptions, precautions and previous vaccine associated adverse events (VAAE).
Background:
Special considerations in immunization include: obtaining consent, assessing and recording VAAE, documenting medical, religious and/or conscientious exemptions, listing contraindications and precautions and recording notifications.
Nurse Nightingale works at an immunization clinic. The following activities occur during the course of a typical day.
Nurse Nightingale receives an alert of a hepatitis B outbreak within her jurisdiction. She runs queries against the jurisdictional Client and Immunization Registries to identify individuals who are not fully immunized against hepatitis B. She begins by getting a list of eligible candidates from the Client Registry. The registry responds with a list of all eligible immunization candidates, who live within her jurisdiction. Next she gets a list of all of their immunization events from the Immunization Registry. By comparing the results, she is able to determine who has not yet received their hepatitis B vaccination.
Interactions:
Patient Registry Get Demographics Query (<artref ref="PRPA_IN201307UV" alt="Patient Registry Get Demographics Query"</artref>) and Patient Registry Get Demographics Query Response(artref ref="PRPA_IN201308UV" alt="Patient Registry Get Demographics Query"</artref>)
Immunization Candidate Query (<artref ref="POIZ_IN021010UV" alt="Immunization Candidate Query"</artref>) and Immunization Candidate Query Response (<artref ref="POIZ_IN021020UV" alt="Immunization Candidate Query Response"</artref) </p</li
Nightingale administers an MMR vaccine to Kari Kidd and records the event on the jurisdiction’s immunization registry.
Interactions: Record Immunization Request (<artref ref="POIZ_IN010020UV" alt="Record Immunization Request"/>) and Record Immunization Request Accepted (<artref ref="POIZ_IN010030UV" alt=" Record Immunization Request Accepted”
Neville Nuclear has accepted a new job as a healthcare worker. His employer has asked for a copy of his hepatitis B vaccinations. Neville completed the entire 3 dose series six months ago at the public health travel clinic. Nightingale queries the Immunization Registry and is presented with the dates and details for each of the three hepatitis B doses.
Interactions: Immunization Candidate Query (<artref ref="POIZ_IN021010UV" alt="Immunization Candidate Query"/>) and Immunization Candidate Query Response (<artref ref="POIZ_IN021020UV" alt="Immunization Candidate Query Response"/>)</p>She then queries for greater detail against each of the listed immunization records.<p> <b>Interactions:</b> Immunization Query (<artref ref="POIZ_IN020010UV" alt="Immunization Query"/>) and Immunization Query Response (<artref ref="POIZ_IN020020UV" alt="Immunization Query Response"/>).</p>Nurse Nightingale prints an official vaccination report for Mr. Nuclear.